Stressful life events, resources, and access: key considerations in quitting smoking at an Aboriginal Medical Service

Aboriginal and Torres Strait Islander people experience adverse health outcomes and have high rates of smoking and related illnesses. This brief report describes stress as a barrier to quitting smoking derived from reflections within an Aboriginal Medical Service and makes recommendations for interv...

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Bibliographic Details
Published in:Australian and New Zealand journal of public health 2007-04, Vol.31 (2), p.174-176
Main Authors: DiGiacomo, Michelle, Davidson, Patricia M., Davison, Joyce, Moore, Louise, Abbott, Penny
Format: Article
Language:English
Subjects:
Aboriginal Australians
Adolescent
Adult
Aged
Australian Aboriginal and Torres Strait Islander Peoples
Cigarette smoking
Clients
Drug addiction
Female
Health services
Health Services, Indigenous
Humans
Indigenous health services
Indigenous peoples
Intervention
Life Change Events
Life events
Male
Mental health
Middle Aged
Native peoples
New South Wales
Nicotine
psychological stress
Public health
Smoking
Smoking cessation
Smoking Cessation - methods
Smoking Cessation - psychology
Stress, Psychological
Suburban development
Tobacco
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Summary:Aboriginal and Torres Strait Islander people experience adverse health outcomes and have high rates of smoking and related illnesses. This brief report describes stress as a barrier to quitting smoking derived from reflections within an Aboriginal Medical Service and makes recommendations for intervention development. A high‐intensity smoking cessation program was conducted within a suburban Aboriginal Medical Service in Western Sydney, Australia, over a 10‐month period. The intervention included weekly cessation counselling sessions and dispensation of free nicotine replacement therapy (NRT). During the observation period, 32 clients made quit attempts. To date, three clients (9%) have quit smoking. Chronic and intercurrent life stressors were noted to be the main barriers to smoking cessation described by participants. Achieving smoking cessation among Indigenous people is made significantly more complex because of multiple life stressors experienced. Future interventions targeting Indigenous Australians should take greater account of stressful life events and their impact on quitting smoking.
ISSN:1326-0200
1753-6405
DOI:10.1111/j.1753-6405.2007.00037.x